Bonilla, Andra Joann
Bonilla, Andra Joann is an individual health care provider with primary practice located at 108 W Victoria St , Gardena CA 90248-3523. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Bonilla, Andra Joann can be contacted via phone (310) 715-2020.Contact Information
Primary practice address
108 W Victoria St
Gardena CA 90248-3523
Phone: (310) 715-2020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1205020328 |
|---|---|
| LBN Legal business name | Bonilla, Andra Joann |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2007 |
| Last updated | Jun 6th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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